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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RYAN JOSEPH CARROLL, MAED, LAT, ATC, OTC

Active Sole Proprietor

MR. RYAN JOSEPH CARROLL, MAED, LAT, ATC, OTC is a Athletic Trainer healthcare provider located in LOGANSPORT, Indiana. NPI 1740366657 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LOGANSPORT, IN

Registration Details

NPI Number
1740366657
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2006 (19.7756685502 yrs)
Last Updated
Oct 27, 2022
License
36001087A (IN)
Sole Proprietor
Yes

Practice Information

Address
1201 MICHIGAN AVE STE 140
LOGANSPORT, IN, 469471530
Browse IN providers · Browse ZIP 46947
Phone
5747223338
Fax
5747531551
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LOGANSPORT, IN

Name Credential NPI
SYDNEY RAE SIMS LAT, ATC 1679059729
KATHLEEN RACHELLE HUNT ATC 1922600360
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.